MARY LOU RUBERT (PH.D) – Clinical Psychologist, NPI 1427400472
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MARY LOU RUBERT (PH.D)
11538 OLDE TIVERTON CIR
APT. 104
RESTON, VA 201941950
Phone: (703) 309-3488
Type: Mailing
US GOVERNMENT
HUMAN RESOURCE MANAGEMENT
WASHINGTON, DC 205050001
Phone: (703) 374-1342
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-09-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201110001216 | I | Clinical Psychologist | VA | TBD |
| I20220913002209 | I | Clinical Psychologist | DC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 42 | 12 | $0 |
Insurance plans in this area (ZIP 20194)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | VA | |
| - | VA | |
| Clinical Psychologist | VA | |
| Clinical Psychologist | PA | |
| Clinical Psychologist | ME | |
| Clinical Psychologist | WA | |
| Clinical Psychologist | PA | |
| Clinical Psychologist | VA | |
| Clinical Psychologist | VA | |
| Clinical Psychologist | VA |
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